Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeshore Community Health Care, Inc

Organization Federally Qualified Health Center (FQHC) · NPI 1184358004

Lakeshore Community Health Care, Inc is a Federally Qualified Health Center (FQHC) in West Bend, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

908 W Washington St
West Bend, WI 53095-2430
Phone: (920) 783-6633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X

Record details

NPI number1184358004
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Caleb Jensema — Cfo · (920) 783-6633
NPI enumeratedJuly 15, 2022
Last updated in NPPESJuly 15, 2022
Certification dateJuly 15, 2022
Mailing addressPo Box 959, Sheboygan, WI 53082-0959